Individual
SHAQUANA RENEE HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1847 HAMILTON ST, QUINCY, FL 32351-4101
(727) 300-9707
Mailing address
1847 HAMILTON ST, QUINCY, FL 32351-4101
(727) 300-9707
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
16224
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16224
NBCOT
FL
Enumeration date
12/08/2017
Last updated
12/08/2017
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